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Dr. Mary B Callahan D.O.'s Expert Contributions

I would recommend further testing to try to determine the cause of you pain, including non cardiac causes of the pain. However if your stress test was normal then it is less likely that it is due to a significant blockage in coronary artery. Consider other causes of chest pain
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The blockages in your coronary arteries are still there, the surgery bypasses these blockages, so after surgery you can have worsening of the existing blockages, or you can form new blockages. This is why it is important to treat your risk factors-lower lipids, blood pressure and treat diabetes to lower your risk.
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You should complete a cardiac rehab program before returning to the gym. Also most gyms want you cleared before retuning to the gym, since there are some exercises that can cause discomfort or even damage if done improperly
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First, have the person sit down and rest. If the pain resolves, then they should see their physician. If the pain continues or worsens, then you should call 911 and activate emergency services.
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They are very different procedures, angioplasty involves putting stents in the arteries to open the blockages, usually during a brief hospital stay. Bypass surgery involves open heart surgery and placing vein or artery segments to bypass the blockages. Also, this results in a longer hospital stay. Both procedures will improve symptoms, but only bypass surgery has been shown to improve survival.
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There are not usually any warning signs. One way to prevent aortic aneurysms is not smoking. If you have risk factors you PCP can order an ultrasound to screen for aortic aneurysm.
Dr Callahan
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